Research Article
Year 2023,
Volume: 9 Issue: 2, 270 - 276, 04.03.2023
Abstract
References
- 1. Skolarikos A, Neisius A, Petřík A, Somani B, Thomas K, Gambaro G, et al. EAU Guidelines on Urolithiasis. European Association of Urology, 2022. Available at https://uroweb.org/guidelines/urolithiasis. Accessed September 10, 2022.
- 2. Fan S, Gong B, Hao Z, Zhang L, Zhou J, Zhang Y, et al. Risk factors of infectious complications following flexible ureteroscope with a holmium laser: a retrospective study. Int J Clin Exp Med 2015;8:11252-9.
- 3. Lucca I, de Martino M, Hofbauer SL, Zamani N, Shariat SF, Klatte T. Comparison of the prognostic value of pretreatment measure ments of systemic inflammatory response in patients undergoing curative resection of clear cell renal cell carcinoma. World J Urol 2015; 33:2045-52.
- 4. Tang K, Liu H, Jiang K, Ye T, Yan L, Liu P, et al. Predictive value of preoperative inflammatory response biomarkers for metabolic syndrome and post-PCNL systemic inflammatory response syndrome in patients with nephrolithiasis. Oncotarget 2017;8:85612-27.
- 5. Peng C, Li J, Xu G, Jin J, Chen J, Pan S. Significance of preoperative systemic immune-inflammation (SII) in predicting postoperative systemic inflammatory response syndrome after percutaneous nephrolithotomy. Urolithiasis 2021;49:513-9.
- 6. Wang K, Diao F, Ye Z, Zhang X, Zhai E, Ren H, et al. Prognostic value of systemic immuneinfammation index in patients with gastric cancer. Chin J Cancer 2017;36:75.
- 7. Lolli C, Caffo O, Scarpi E, Aieta M, Conteduca V, Maines F, et al. Systemic immuneinfammation index predicts the clinical outcome in patients with mCRPC treated with abiraterone. Front Pharmacol 2016;7:376.
- 8. Man YN, Chen YF. Systemic immune-inflammation index, serum albumin, and fibrinogen impact prognosis in castration resistant prostate cancer patients treated with first-line docetaxel. Int Urol Nephrol 2019;51:2189-99.
- 9. Somani BK, Giusti G, Sun Y, Osther PJ, Frank M, De Sio M, et al. Complications associated with ureterorenoscopy (URS) related to treatment of urolithiasis: the Clinical Research Office of Endourological Society URS Global study. World J Urol 2017;35:675-81.
- 10. Southern JB, Higgins AM, Young AJ, Kost KA, Schreiter BR, Clifton M, et al. Risk factors for postoperative fever and systemic inflammatory response syndrome after ureteroscopy for stone disease. J Endourol 2019;33:516-22.
- 11. Mitsuzuka K, Nakano O, Takahashi N, Satoh M. Identification of factors associated with postoperative febrile urinary tract infection after ureteroscopy for urinary stones. Urolithiasis 2016;44:257-62.
- 12. Kazan HO, Cakici MC, Efiloglu O, Cicek M, Yildirim A, Atis RG. Clinical characteristics of postoperative febrile urinary tract infections after ureteroscopic lithotripsy in diabetics: impact of glycemic control. Arch Esp Urol 2020;73:634-42.
- 13. Marchini T, Mitre LS, Wolf D. Inflammatory cell recruitment in cardiovascular disease. Front Cell Dev Biol 2021;9:635527.
- 14. King BJ, Seufert CJ, Okhunov Z, Khater N, Baldwin DD, Callas PW, et al. Profile of metabolic and infectious stone-formers in a contemporary PCNL cohort. Can J Urol 2017;24:8641-5.
- 15. Daudon M, Donsimoni R, Hennequin C, Fellahi S, Le Moel G, Paris M, et al. Sex- and age-related composition of 10 617 calculi analyzed by infrared spectroscopy. Urol Res 1995;23:319-26.
- 16. Singh P, Yadav S, Singh A, Saini AK, Kumar R, Seth A, et al. Systemic inflammatory response syndrome following percutaneous nephrolithotomy: assessment of risk factors and their impact on patient outcomes. Urol Int 2016;96:207-11.
- 17. Mariappan P, Smith G, Bariol SV, Moussa SA, Tolley DA. Stone and pelvic urine culture and sensitivity are better than bladder urine as predictors of urosepsis following percutaneous nephrolithotomy: a prospective clinical study. J Urol 2005;173:1610-4.
- 18. Wang Y, Jiang F, Wang Y, Hou Y, Zhang H, Chen Q, et al. Post-percutaneous nephrolithotomy septic shock and severe hemorrhage: a study of risk factors. Urol Int 2012;88:307-10.
- 19. Kutluhan MA, Unal S, Ozayar A, Okulu E, Kayigil O. Predictive value of preoperative high-sensitive C-reactive protein (hs-CRP)/albumin ratio in systemic inflammatory response syndrome (SIRS) after semi-rigid ureteroscopy. Cureus 2022;14:e23117.
- 20. Hu B, Yang XR, Xu Y, Sun YF, Sun C, Guo W, et al. Systemic immuneinflammation index predicts prognosis of patients after curative resection for hepatocellular carcinoma. Clin Cancer Res 2014;20:6212-22.
The systemic immune-inflammation index (SII) in predicting postoperative systemic inflammatory response syndrome (SIRS) after ureteroscopy
Abstract
Objectives: The predictive value of some preoperative inflammatory markers for postoperative infective complications in urinary system stone disease has been demonstrated. We investigated how valuable the systemic immune-inflammation index (SII) is as a marker for the development of postoperative systemic inflammatory response syndrome (SIRS) in patients undergoing ureteroscopy.
Methods: The data of 495 patients who met the study criteria were evaluated retrospectively. The patients were divided into groups according to whether they developed SIRS postoperatively or not. The clinical and demographic data of the patient groups as well as blood parameters were evaluated.
Results: Postoperative systemic inflammatory response syndrome was detected in 105 (21.2%) of the patients. Age, diabetes, cardiovascular disease, preoperative urinary culture positivity, SII, neutrophil-lymphocyte ratio (NLR), lymphocyte-monocyte ratio (LMR) and platelet-lymphocyte ratio (PLR) were found to be significant for the development of SIRS. When the areas under the curve were measured in the ROC analysis, it was seen that the SII, NLR, LMR and PLR had high predictive values for the development of SIRS (area under the curve values of 0.73, 0.76, 0.72 and 0.67, respectively). In the multivariate logistic regression analysis, among the risk factors, age, cardiovascular disease, preoperative urinary culture positivity and NLR were determined as independent risk factors.
Conclusions: Study revealed that only NLR among inflammatory markers is an independent risk factor for the development of SIRS. Although there is a relationship between the preoperative SII and the development of SIRS, it is not an independent risk factor. Along with many other variables, it may contribute to the development of SIRS.
References
- 1. Skolarikos A, Neisius A, Petřík A, Somani B, Thomas K, Gambaro G, et al. EAU Guidelines on Urolithiasis. European Association of Urology, 2022. Available at https://uroweb.org/guidelines/urolithiasis. Accessed September 10, 2022.
- 2. Fan S, Gong B, Hao Z, Zhang L, Zhou J, Zhang Y, et al. Risk factors of infectious complications following flexible ureteroscope with a holmium laser: a retrospective study. Int J Clin Exp Med 2015;8:11252-9.
- 3. Lucca I, de Martino M, Hofbauer SL, Zamani N, Shariat SF, Klatte T. Comparison of the prognostic value of pretreatment measure ments of systemic inflammatory response in patients undergoing curative resection of clear cell renal cell carcinoma. World J Urol 2015; 33:2045-52.
- 4. Tang K, Liu H, Jiang K, Ye T, Yan L, Liu P, et al. Predictive value of preoperative inflammatory response biomarkers for metabolic syndrome and post-PCNL systemic inflammatory response syndrome in patients with nephrolithiasis. Oncotarget 2017;8:85612-27.
- 5. Peng C, Li J, Xu G, Jin J, Chen J, Pan S. Significance of preoperative systemic immune-inflammation (SII) in predicting postoperative systemic inflammatory response syndrome after percutaneous nephrolithotomy. Urolithiasis 2021;49:513-9.
- 6. Wang K, Diao F, Ye Z, Zhang X, Zhai E, Ren H, et al. Prognostic value of systemic immuneinfammation index in patients with gastric cancer. Chin J Cancer 2017;36:75.
- 7. Lolli C, Caffo O, Scarpi E, Aieta M, Conteduca V, Maines F, et al. Systemic immuneinfammation index predicts the clinical outcome in patients with mCRPC treated with abiraterone. Front Pharmacol 2016;7:376.
- 8. Man YN, Chen YF. Systemic immune-inflammation index, serum albumin, and fibrinogen impact prognosis in castration resistant prostate cancer patients treated with first-line docetaxel. Int Urol Nephrol 2019;51:2189-99.
- 9. Somani BK, Giusti G, Sun Y, Osther PJ, Frank M, De Sio M, et al. Complications associated with ureterorenoscopy (URS) related to treatment of urolithiasis: the Clinical Research Office of Endourological Society URS Global study. World J Urol 2017;35:675-81.
- 10. Southern JB, Higgins AM, Young AJ, Kost KA, Schreiter BR, Clifton M, et al. Risk factors for postoperative fever and systemic inflammatory response syndrome after ureteroscopy for stone disease. J Endourol 2019;33:516-22.
- 11. Mitsuzuka K, Nakano O, Takahashi N, Satoh M. Identification of factors associated with postoperative febrile urinary tract infection after ureteroscopy for urinary stones. Urolithiasis 2016;44:257-62.
- 12. Kazan HO, Cakici MC, Efiloglu O, Cicek M, Yildirim A, Atis RG. Clinical characteristics of postoperative febrile urinary tract infections after ureteroscopic lithotripsy in diabetics: impact of glycemic control. Arch Esp Urol 2020;73:634-42.
- 13. Marchini T, Mitre LS, Wolf D. Inflammatory cell recruitment in cardiovascular disease. Front Cell Dev Biol 2021;9:635527.
- 14. King BJ, Seufert CJ, Okhunov Z, Khater N, Baldwin DD, Callas PW, et al. Profile of metabolic and infectious stone-formers in a contemporary PCNL cohort. Can J Urol 2017;24:8641-5.
- 15. Daudon M, Donsimoni R, Hennequin C, Fellahi S, Le Moel G, Paris M, et al. Sex- and age-related composition of 10 617 calculi analyzed by infrared spectroscopy. Urol Res 1995;23:319-26.
- 16. Singh P, Yadav S, Singh A, Saini AK, Kumar R, Seth A, et al. Systemic inflammatory response syndrome following percutaneous nephrolithotomy: assessment of risk factors and their impact on patient outcomes. Urol Int 2016;96:207-11.
- 17. Mariappan P, Smith G, Bariol SV, Moussa SA, Tolley DA. Stone and pelvic urine culture and sensitivity are better than bladder urine as predictors of urosepsis following percutaneous nephrolithotomy: a prospective clinical study. J Urol 2005;173:1610-4.
- 18. Wang Y, Jiang F, Wang Y, Hou Y, Zhang H, Chen Q, et al. Post-percutaneous nephrolithotomy septic shock and severe hemorrhage: a study of risk factors. Urol Int 2012;88:307-10.
- 19. Kutluhan MA, Unal S, Ozayar A, Okulu E, Kayigil O. Predictive value of preoperative high-sensitive C-reactive protein (hs-CRP)/albumin ratio in systemic inflammatory response syndrome (SIRS) after semi-rigid ureteroscopy. Cureus 2022;14:e23117.
- 20. Hu B, Yang XR, Xu Y, Sun YF, Sun C, Guo W, et al. Systemic immuneinflammation index predicts prognosis of patients after curative resection for hepatocellular carcinoma. Clin Cancer Res 2014;20:6212-22.
There are 20 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Urology |
| Journal Section | Original Articles |
| Authors | |
| Publication Date | March 4, 2023 |
| Submission Date | November 1, 2022 |
| Acceptance Date | December 24, 2022 |
| Published in Issue | Year 2023 Volume: 9 Issue: 2 |
e-ISSN: 2149-3189
The European Research Journal, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
2024